Nursing for Women''s Health最新文献

英文中文

Collaboration Through Interdisciplinary Education on Fetal Heart Monitoring in the Perinatal Setting 围产期胎儿心脏监测跨学科教育合作。

Nursing for Women''s Health

Pub Date : 2025-06-01 DOI: 10.1016/j.nwh.2024.10.006

Jennifer Kendrick, Amy D. Bell, Cyril Amoin, James deVente, Kathy Shaffer

Objective

To conduct interdisciplinary fetal monitoring education focused on communication strategies to improve attitudes toward collaboration among members of the perinatal team.

Design

Participants received interdisciplinary fetal monitoring education from the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) and were surveyed preclass, at the immediate conclusion of the in-person interdisciplinary class, and within 60 days postclass using the Jefferson Survey of Attitudes Toward Physician-Nurse Collaboration (JSAPNC). Scores were calculated and analyzed by applying the scale provided by the JSAPNC’s author.

Setting

An academic medical center providing level IV maternal care located in the southeast region of the United States.

Participants

Physicians, registered nurses, and certified nurse-midwives attending AWHONN’s Intermediate Fetal Heart Monitoring (FHM) Course from January 2024 through March 2024.

Intervention/Measurements

The reliable and validated JSAPNC tool was used to survey participants. Survey scores were compared for the total scores and four identified constructs (shared education and collaborative relationships, caring versus curing, nurse’s autonomy, and physician’s authority) to better understand collaboration and interdisciplinary education.

Results

Attitudes toward collaboration demonstrated statistically significant improvement among the perinatal team after participation in an interdisciplinary AWHONN Intermediate FHM Course.

Conclusion

The findings establish that interdisciplinary education is associated with improved attitudes around collaboration.

目的：开展以沟通策略为重点的跨学科胎儿监护教育，提高围产团队成员的合作态度。设计：参与者接受来自妇女健康、产科和新生儿护士协会（AWHONN）的跨学科胎儿监测教育，并在课前、面对面跨学科课程结束时和课后60天内使用杰弗逊医师-护士合作态度调查（JSAPNC）进行调查。分数的计算和分析采用了JSAPNC作者提供的量表。环境：位于美国东南地区的一个提供四级产妇护理的学术医疗中心。参与者：2024年1月至2024年3月参加AWHONN中级胎儿心脏监测（FHM）课程的医生，注册护士和认证护士助产士。干预/测量：采用可靠且有效的JSAPNC工具对参与者进行调查。将调查得分与总分和四个确定的构念（共享教育和合作关系、护理与治疗、护士自主权和医生权威）进行比较，以更好地理解合作和跨学科教育。结果：围产期团队在参加了跨学科的AWHONN中级FHM课程后，对合作的态度有统计学上的显著改善。结论：研究结果表明，跨学科教育与改善合作态度有关。

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引用次数: 0

The Couple in the Parking Lot 《停车场里的情侣》

Nursing for Women''s Health

Pub Date : 2025-06-01 DOI: 10.1016/j.nwh.2025.04.001

Melanie Chichester

引用次数: 0

Comparing Brazilian Guidelines for Normal Birth Care to Other National and International Guidelines 比较巴西正常分娩护理指南与其他国家和国际指南。

Nursing for Women''s Health

Pub Date : 2025-06-01 DOI: 10.1016/j.nwh.2025.02.003

Eneida Patrícia Teixeira, Rita de Cassia Teixeira Rangel, Anna Carolina Raduenz Huf Souza, Cristina M.G. de L. Parada, Fiona A. Lynn, Maria de Lourdes de Souza

Objective

To compare the Brazilian national guidelines for normal birth care to guidelines from the National Institute for Health and Care Excellence (NICE) and the World Health Organization (WHO) on levels of evidence, quality, and applicability for the prevention of maternal mortality.

Design

A review and evaluation of guidelines was conducted using the Appraisal of Guidelines for Research & Evaluation II instrument translated and validated for Brazilian Portuguese.

Setting

Guidelines were selected using criteria such as national or international use and interest, scope, and whether they were a source for other clinical guidelines. Three guidelines and supporting documents related to the guidelines’ development were included in the review and evaluation.

Methods

Data were narratively synthesized under four dimensions: (a) quality and applicability of the guidelines, (b) score of each domain in the guidelines, (c) interrater agreement index, and (d) evidence on the consideration of risk and prevention of maternal mortality.

Results

The Brazilian guidelines presented weaknesses in two domains: (a) Accuracy in Development and (b) Applicability. The overall evaluation of the Brazilian guidelines had a rating of 33%, which is lower than the rating for the NICE and WHO guidelines. These scores reflect limitations in systematic evidence gathering, the transparency of recommendations, and the lack of tools and guidance for practical implementation.

Conclusion

The Brazilian guidelines should be reformulated following a process of appropriate planning and development that aligns with international standards.

目的：比较巴西国家正常分娩护理指南与国家卫生和护理卓越研究所（NICE）和世界卫生组织（WHO）的指南在预防孕产妇死亡的证据水平、质量和适用性方面的差异。设计：使用为巴西葡萄牙语翻译和验证的研究和评估指南评估II工具对指南进行审查和评估。设定：根据国家或国际使用和兴趣、范围以及它们是否为其他临床指南的来源等标准选择指南。审查和评价包括三项准则和与准则制定有关的支持文件。方法：在四个维度下对数据进行叙述性综合：(a)指南的质量和适用性，(b)指南中每个领域的得分，(c)翻译人员一致性指数，(d)考虑孕产妇死亡风险和预防的证据。结果：巴西准则在两个领域存在弱点：(a)发展的准确性和(b)适用性。对巴西指南的总体评价评分为33%，低于NICE和WHO指南的评分。这些分数反映了系统证据收集、建议透明度以及缺乏实际实施工具和指导方面的局限性。结论：巴西的指导方针应经过与国际标准相一致的适当规划和发展过程后重新制定。

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引用次数: 0

Information for Readers 读者资讯

Nursing for Women''s Health

Pub Date : 2025-06-01 DOI: 10.1016/S1751-4851(25)00087-X

引用次数: 0

Effect of Endometriosis on Disease-Specific Quality of Life 子宫内膜异位症对疾病特异性生活质量的影响。

Nursing for Women''s Health

Pub Date : 2025-06-01 DOI: 10.1016/j.nwh.2024.09.005

Katherine E. Pinto, Helen L. Graham, Judith M. Scott, Melissa J. Benton

Objective

To evaluate disease-specific quality of life (QOL) in women with endometriosis and assess concurrent validity of the Endometriosis Impact Questionnaire (EIQ).

Design

Observational, cross-sectional design.

Setting

Online survey.

Participants

Women ages 18 to 49 years who self-reported a diagnosis of endometriosis.

Measurement

Disease-specific QOL was measured with the EIQ and the Endometriosis Health Profile-5 (EHP-5). Health-related QOL was measured with two WHOQOL-BREF questions.

Results

There were 413 participants with complete data included in the analysis. Mean (SD) age at participation was 33.9 (7.1) years and at diagnosis was 28.9 (7.0) years. Responses to the EIQ demonstrated that endometriosis had the greatest effect on QOL through physical-psychosocial symptoms and fertility problems. Lifestyle behaviors related to alcohol and tobacco use were the least affected by endometriosis. Scores on the EHP-5 demonstrated similar results, with social support, self-image, and feelings of control being most impacted. Health-related QOL was also found to be impaired. Participants rated their overall QOL as neither poor nor good and their overall satisfaction with their health as dissatisfied. Concurrent validity for the EIQ was acceptable. Women who reported worse disease-specific QOL on the EIQ also had worse disease-specific QOL on the EHP-5 (p ˂ .01) and worse health-related QOL on the WHOQOL-BREF questions (p ˂ .01).

Conclusion

Endometriosis significantly impairs disease-specific QOL in addition to general health-related QOL. The EIQ is a valid measure of disease-specific QOL and can be used to assess the impact of endometriosis on the multiple dimensions of women’s lives. It is recommended that providers use this tool to obtain a more in-depth understanding of the effect on QOL and tailor patient-specific care that targets the multidimensions of endometriosis.

目的：评价子宫内膜异位症患者疾病特异性生活质量（QOL），评估子宫内膜异位症影响问卷（EIQ）的有效性。设计：观察性横断面设计。设置：在线调查。参与者：年龄在18到49岁之间，自我报告诊断为子宫内膜异位症的女性。测量：用EIQ和子宫内膜异位症健康概况-5 （EHP-5）测量疾病特异性生活质量。健康相关生活质量采用两个WHOQOL-BREF问题进行测量。结果：纳入资料完整的413例受试者。参与时的平均（SD）年龄为33.9（7.1）岁，诊断时的平均（SD）年龄为28.9（7.0）岁。对EIQ的反应表明，子宫内膜异位症通过身体-心理社会症状和生育问题对生活质量的影响最大。与酒精和烟草使用有关的生活方式行为受到的影响最小。EHP-5的得分也显示出类似的结果，社会支持、自我形象和控制感受到的影响最大。与健康相关的生活质量也受到影响。参与者认为他们的总体生活质量既不差也不好，他们对健康的总体满意度为不满意。EIQ的并发效度是可以接受的。在EIQ上报告疾病特异性生活质量较差的女性在EHP-5上的疾病特异性生活质量也较差（p小于0.01），在WHOQOL-BREF问题上的健康相关生活质量也较差（p小于0.01）。结论：子宫内膜异位症显著损害疾病特异性生活质量以及一般健康相关生活质量。EIQ是衡量疾病特异性生活质量的有效指标，可用于评估子宫内膜异位症对女性生活的多个方面的影响。建议医生使用该工具更深入地了解对生活质量的影响，并针对子宫内膜异位症的多个维度量身定制患者特异性护理。

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引用次数: 0

Addressing Maternal Mental Health Care 解决产妇心理保健问题

Nursing for Women''s Health

Pub Date : 2025-06-01 DOI: 10.1016/S1751-4851(25)00091-1

引用次数: 0

Understanding the Health Benefits of Tai Chi Practice for Managing Pain After Breast Cancer Treatment 了解太极拳练习对乳腺癌治疗后疼痛的健康益处。

Nursing for Women''s Health

Pub Date : 2025-06-01 DOI: 10.1016/j.nwh.2024.11.004

Frankie B. Hale, Allyssa L. Harris

This short review summarizes a recent U.S.-based study in which researchers evaluated the impact of tai chi mind-body exercises on health outcomes of breast cancer survivors. The researchers examined the efficacy of a tai chi intervention for managing aromatase inhibitor arthralgia in patients with breast cancer. They concluded that mind-body–related practices likely contributed to improved health outcomes. Nurses can guide patients about the impact that mind-body practices may have on the health and well-being of breast cancer survivors.

这篇简短的综述总结了最近美国的一项研究，在这项研究中，研究人员评估了太极拳身心锻炼对乳腺癌幸存者健康结果的影响。研究人员检查了太极干预对乳腺癌患者芳香酶抑制剂关节痛的治疗效果。他们得出结论，身心相关的练习可能有助于改善健康状况。护士可以指导患者了解身心练习可能对乳腺癌幸存者的健康和福祉产生的影响。

引用次数: 0

Implementing a Clinical Risk Assessment Tool to Improve Bone Health in Postmenopausal Women 实施临床风险评估工具以改善绝经后妇女的骨骼健康。

Nursing for Women''s Health

Pub Date : 2025-06-01 DOI: 10.1016/j.nwh.2024.11.003

Bailey D. Mosley, Terrie Platt, Tracy Brown

Objective

To improve staff knowledge of osteoporosis and increase the identification of fracture risk in postmenopausal women by implementing use of the Fracture Risk Assessment Tool (FRAX) in an outpatient setting.

Design

Quality improvement project guided using the Plan-Do-Study-Act cycle.

Setting/Local Problem

In a low-income primary care clinic, no standardized fracture risk assessment tool was being used, leading to inconsistency in referrals for dual-energy X-ray absorptiometry (DXA).

Participants

Office staff and postmenopausal women ages 50 to 64 years.

Interventions/Measurements

A standardized process was designed to promote appropriate osteoporosis management to improve the assessment, diagnosis, and treatment of osteoporosis in postmenopausal women. Staff training was provided before project implementation. Outcome measures included pre-post Revised Osteoporosis Knowledge Test, FRAX adherence, and DXA referrals.

Results

Staff knowledge improved by 25.8% after completion of staff training. During the 2-month implementation period, FRAX adherence was 96.3% (n = 156) among the 162 eligible women, and 98.6% of DXA referrals (n = 70) were completed for the 71 women identified with a major osteoporotic fracture risk greater than 8.4%.

Conclusion

With this quality improvement project, we successfully implemented the FRAX tool in the outpatient setting. Initial high adherence rates for FRAX screenings and DXA referrals demonstrated advancements made in clinical practice to provide evidence-based care to postmenopausal women at the greatest risk for an osteoporotic fracture.

目的：通过在门诊实施骨折风险评估工具（FRAX），提高工作人员对骨质疏松症的认识，提高对绝经后妇女骨折风险的认识。设计：使用计划-执行-研究-行动循环指导的质量改进项目。环境/局部问题：在低收入的初级保健诊所，没有使用标准化的骨折风险评估工具，导致双能x线吸收仪（DXA）的转诊不一致。参与者：办公室工作人员和50至64岁的绝经后妇女。干预/测量：设计了一个标准化的过程，以促进适当的骨质疏松症管理，以改善绝经后妇女骨质疏松症的评估、诊断和治疗。项目实施前对工作人员进行了培训。结果测量包括前后修订的骨质疏松症知识测试，FRAX依从性和DXA转诊。结果：完成员工培训后，员工知识水平提高了25.8%。在2个月的实施期间，162名符合条件的女性中FRAX依从率为96.3% (n = 156)， 71名骨质疏松性骨折风险大于8.4%的女性完成了98.6%的DXA转诊（n = 70）。结论：通过这个质量改进项目，我们成功地在门诊环境中实施了FRAX工具。最初FRAX筛查和DXA转诊的高依从率表明，临床实践在为骨质疏松性骨折风险最大的绝经后妇女提供循证护理方面取得了进展。

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引用次数: 0

Expert Witnesses in Women’s Health, Obstetric, and Neonatal Nursing 妇女健康、产科和新生儿护理专家证人。

Nursing for Women''s Health

Pub Date : 2025-06-01 DOI: 10.1016/j.nwh.2024.11.002

Association of Women’s Health, Obstetric and Neonatal Nurses

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Perinatal Nurse Leader: Clinical Competencies and Education Guide 围产期护士长：临床能力与教育指南。

Nursing for Women''s Health

Pub Date : 2025-06-01 DOI: 10.1016/j.nwh.2025.02.002

Association of Women’s Health, Obstetric and Neonatal Nurses

引用次数: 0

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Nursing for Women''s Health

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